Individual provider Active NPI

Liang Wu, MD

  • Nephrology Physician
  • Meridian, ID
National Provider Identifier
1073776258
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M-11883 Issued in ID
Practice address
3525 E Louise Dr Ste 100
Meridian, ID 83642-6303
Phone
(208) 999-0356
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.094784 OH
Nephrology Physician 207RN0300X MD160974 OR
Nephrology Physician 207RN0300X M-11883 ID Primary

Addresses

Primary practice location

3525 E Louise Dr Ste 100
Meridian, ID 83642-6303

Mailing address

3525 E Louise Dr Ste 100
Meridian, ID 83642-6303
Phone (208) 999-0356

Other practice location 1

9850 W St Lukes Dr Ste 129
Nampa, ID 83687-7912
Phone (208) 463-3000

Other practice location 2

3277 E Louise Dr Ste 200
Meridian, ID 83642-9360
Phone (208) 463-3390

Other practice location 3

360 E Montvue Dr
Meridian, ID 83642-6318
Phone (208) 463-3000

Other practice location 4

746 N College Rd Ste A
Twin Falls, ID 83301-3486
Phone (208) 814-7230

Other identifiers 2

IdentifierTypeStateIssuer
1073776258MedicaidID
M-11883MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130828000009 ID Practitioner - Nephrology 4284766932 Reassigns benefits to 1 organization
Practice locations: Meridian, ID
I20140115000123 OR Practitioner - Nephrology 4284766932

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Practice addresses (Care Compare)

Meridian, ID 83642
Phone (208) 999-0356

746 N College Rd
Twin Falls, ID 83301-3486

775 Pole Line Rd W
Twin Falls, ID 83301-5823

801 Pole Line Rd W
Twin Falls, ID 83301-5810

Hospital & facility affiliations

  • Liberty Dialysis - Meridian Dialysis facility, Meridian, ID, CCN 132512
  • Liberty Dialysis - Nampa Dialysis facility, Nampa, ID, CCN 132516
  • Liberty Dialysis - Boise Dialysis facility, Boise, ID, CCN 132528
  • St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • Minidoka Memorial Hospital Hospital, Rupert, ID, CCN 131319
  • St Luke'S Jerome Hospital, Jerome, ID, CCN 131310
  • St Luke'S Wood River Medical Center Hospital, Ketchum, ID, CCN 131323

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
73.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.094784OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Clinic LLC Internal Medicine CurrentSince Feb 27, 2024 Accepting new patients
Southern Idaho Health Partners LLC CurrentSince Apr 1, 2019 Accepting new patients
Liang Wu MD LLC Nephrology PastSince Jul 10, 2024 Accepting new patients
University of Toledo Physicians LLC Internal Medicine Past Accepting new patients
Interpath Laboratory, Inc. PastSince Apr 1, 2019 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients
Hospitalist Medicine Physicians of Sylvania LTD Internal Medicine Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

360 E Montvue Dr
Meridian, ID 83642
Phone (208) 855-2900

3277 E Louise Dr
Meridian, ID 83642
Phone (208) 489-5800

3277 E Louise Dr
Ste 200
Meridian, ID 83642
Phone (208) 463-3138

9850 W St Lukes Dr
Ste 129
Nampa, ID 83687
Phone (208) 205-7600

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

746 N College Rd
Ste A
Twin Falls, ID 83301
Phone (208) 814-7230

515 East Ln S
Ontario, OR 97914
Phone (208) 501-8955

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1073776258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 E LOUISE DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426303",
            "telephone_number": "208-999-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 E LOUISE DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426303",
            "telephone_number": "208-999-0356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 W St Lukes Dr Ste 129",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836877912",
            "country_code": "US",
            "telephone_number": "208-463-3000",
            "fax_number": "208-884-2979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3277 E Louise Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836429360",
            "country_code": "US",
            "telephone_number": "208-463-3390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 E Montvue Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836426318",
            "country_code": "US",
            "telephone_number": "208-463-3000",
            "fax_number": "208-884-2979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "746 N College Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833013486",
            "country_code": "US",
            "telephone_number": "208-814-7230",
            "fax_number": "208-734-1178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "LIANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.094784",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD160974",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ID",
            "license": "M-11883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073776258",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M-11883",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.